ATI RN
ATI Pediatric Proctored Exam 2023
1. For a 6-year-old child with hypokalemia, which menu choice should the nurse encourage?
- A. Pizza with a fruit plate
- B. Chicken strips with chips
- C. Fajita with rice
- D. Hamburger with French fries
Correct answer: A
Rationale: Pizza with a fruit plate is the most suitable choice for a 6-year-old child with hypokalemia due to its potassium content. Potassium-rich foods like fruits can help replenish potassium levels in the body, aiding in the treatment of hypokalemia.
2. Which strategy is most effective in preventing existing challenging behaviors?
- A. Ignoring the behaviors
- B. Individualized interventions
- C. Providing flexible rules
- D. Punishment
Correct answer: B
Rationale: Individualized interventions are tailored to address the specific needs and triggers of the individual's challenging behaviors. By customizing the approach to each person, it increases the likelihood of effectively preventing and managing the existing challenging behaviors.
3. The caregiver is providing care to a pediatric client diagnosed with inflammatory bowel disease, who is prescribed daily prednisone. Which caregiver statement regarding administration of this drug indicates correct understanding of the teaching provided by the healthcare provider?
- A. I will administer this medication between meals.
- B. I will administer this medication at bedtime.
- C. I will administer this medication one hour before meals.
- D. I will administer this medication with meals.
Correct answer: D
Rationale: The correct answer is D. Prednisone should be administered with meals to reduce gastrointestinal upset. Taking prednisone with food helps to minimize stomach irritation and other gastrointestinal side effects associated with the medication.
4. Which clinical manifestations should the nurse anticipate when assessing a child admitted to the hospital unit with a diagnosis of minimal change nephrotic syndrome (MCNS)?
- A. Massive proteinuria, hypoalbuminemia, and edema
- B. Hematuria, bacteriuria, and weight gain
- C. Decreased urine specific gravity and increased urinary output
- D. Gross hematuria, albuminuria, and fever
Correct answer: A
Rationale: Minimal change nephrotic syndrome (MCNS) is characterized by massive proteinuria, hypoalbuminemia, and edema. Proteinuria results from the loss of proteins, particularly albumin, in the urine, leading to hypoalbuminemia. The low oncotic pressure due to hypoalbuminemia causes fluid to shift into the interstitial spaces, resulting in edema. These clinical manifestations are classic signs of MCNS and help differentiate it from other renal conditions.
5. Which statement best describes the recommended approach to increase participation as the focus of intervention with children and youth?
- A. Remediate areas of concern and the child's limitations
- B. Intervene with family and friends to interact differently with the child
- C. Promote the child's strengths and allow the child to accommodate challenges
- D. Evaluate the child's areas of competence and achievement, along with challenges
Correct answer: D
Rationale: The recommended approach to intervention with children and youth focuses on evaluating the child's areas of competence and achievement, along with challenges. By understanding the child's strengths and competencies, interventions can be tailored to build upon these existing positive attributes. This approach fosters a positive self-image and encourages further development by capitalizing on the child's strengths.
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